CDERMA is a specialized dermatology center in Santo Domingo, Dominican Republic. The clinic treats adults and children. It focuses on general, aesthetic, and surgical dermatology. Key services include skin cancer detection and dermatologic surgery. The team also offers advanced facial rejuvenation and non-surgical lifting.
The clinic was founded in 2019 by Dr. Leyla Guzmán Abreu. She is certified by the Dominican Society of Dermatology. Dr. Guzmán Abreu is also a member of the American Academy of Dermatology. Three specialized doctors make up the medical team. They perform procedures like Mohs microsurgery and skin biopsies.
CDERMA uses FDA-approved technology for skin tightening, including the Ultraformer III HIFU system. Other platforms include Morpheus8, Sofwave, and Fotona lasers. For aesthetic treatments, the clinic uses brands like Restylane and Juvederm. International patients get a reply to consultation requests within 24 hours.
","text_type":"short_description","reviews":[],"clinic":{"id":9762,"alias":"cderma-centro-de-dermatologia-avanzada","name":"CDERMA / Centro de Dermatología Avanzada","short_description":"CDERMA is a specialized dermatology center in Santo Domingo, Dominican Republic. The clinic treats adults and children. It focuses on general, aesthetic, and surgical dermatology. Key services include skin cancer detection and dermatologic surgery. The team also offers advanced facial rejuvenation and non-surgical lifting.
The clinic was founded in 2019 by Dr. Leyla Guzmán Abreu. She is certified by the Dominican Society of Dermatology. Dr. Guzmán Abreu is also a member of the American Academy of Dermatology. Three specialized doctors make up the medical team. They perform procedures like Mohs microsurgery and skin biopsies.
CDERMA uses FDA-approved technology for skin tightening, including the Ultraformer III HIFU system. Other platforms include Morpheus8, Sofwave, and Fotona lasers. For aesthetic treatments, the clinic uses brands like Restylane and Juvederm. International patients get a reply to consultation requests within 24 hours.
","images":[{"base_url":"clinic/6ae384f30a970","title":"Sala de espera moderna en la clínica CDERMA con asientos cómodos y decoración"},{"base_url":"clinic/6ae384f49a1d0","title":"Pared de recepción de la clínica CDERMA con diseño moderno de madera"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Calle Tetelo Vargas #26, Torre profesional corazones unidos, suite 802, Naco, Distrito Nacional, Santo Domingo, Dominican Republic 10122"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2019},"accreditations":[]}},{"text":"Centro dermatológico IDDA is a dermatology clinic in Santiago, Dominican Republic. The team treats adults and children across clinical, aesthetic, and surgical care. Specialized departments include pediatric dermatology, trichology, and skin oncology. Five doctors manage skin, hair, and nail conditions. Dr. Jessica Núñez leads the skin oncology and surgical units.
For early skin cancer detection, the clinic uses digital high-resolution dermatoscopy. Mole mapping and trichoscopy support precise diagnostic monitoring. Surgical options include biopsy, cryotherapy, and Mohs microsurgery. After lesion removal, surgeons use flaps and grafts for reconstruction. Aesthetic services include botulinum toxin, hyaluronic acid, and collagen biostimulators. International patients can book teleconsultations and follow-ups via WhatsApp.
","text_type":"short_description","reviews":[],"clinic":{"id":9846,"alias":"centro-dermatological-idda","name":"Centro dermatological IDDA","short_description":"Centro dermatológico IDDA is a dermatology clinic in Santiago, Dominican Republic. The team treats adults and children across clinical, aesthetic, and surgical care. Specialized departments include pediatric dermatology, trichology, and skin oncology. Five doctors manage skin, hair, and nail conditions. Dr. Jessica Núñez leads the skin oncology and surgical units.
For early skin cancer detection, the clinic uses digital high-resolution dermatoscopy. Mole mapping and trichoscopy support precise diagnostic monitoring. Surgical options include biopsy, cryotherapy, and Mohs microsurgery. After lesion removal, surgeons use flaps and grafts for reconstruction. Aesthetic services include botulinum toxin, hyaluronic acid, and collagen biostimulators. International patients can book teleconsultations and follow-ups via WhatsApp.
","images":[{"base_url":"clinic/6ae3d76b33210","title":"Área de recepción en Centro Dermatológico IDDA con decoración moderna y asientos para pacientes"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santiago de los Caballeros","id":2525,"alias":"santiago-de-caballeros"},"address":"C. E. León Jimenez, C5-11 Los Girasoles, Santiago, Dominican Republic, 51000"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5},"accreditations":[]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":78},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"Laextirpación quirúrgica del melanoma es el principal tratamiento para el cáncer de piel en estadio inicial..
En el melanoma en estadio 0 y estadio I, la extirpación del tumor primario puede ser el único procedimiento necesario para una recuperación completa.Los principales tipos de operaciones realizadas para el melanoma:
La escisión amplia (excisión) implica la extirpación de la formación junto con algo de tejido sano alrededor de los bordes. El tumor se extirpa con un bisturí bajo anestesia local, haciendo una hendidura de 0,5-2 cm. El tamaño del margen quirúrgico depende del grosor (germinación) del melanoma en la profundidad de la piel.
Tras la eliminación de la formación, se aplica una sutura.
Grosor de la formación | Margen quirúrgico |
0,5 cm | |
menos de 1 mm | 1 cm |
de 2 a 4 mm | 2 cm |
más de 4 mm | 2 cm |
Si se encuentran células malignas en el ganglio centinela, se realiza una disección ganglionar ( linfadenectomía ) - extirpación de los ganglios linfáticos afectados.
La operación de Mohs consiste en la extirpación de la formación por etapas, por capas. Cada capa extirpada durante la operación se examina al microscopio para detectar células cancerosas. La siguiente capa se extirpa siempre que haya células tumorales en ella. Este método es suave y permite extirpar el tumor preservando al máximo la piel sana.
La cirugía de Mohs puede utilizarse para lesiones de la cara, donde una escisión amplia puede dejar un defecto estético no deseado. Muchos médicos recomiendan la cirugía de Mohs sólo para los cánceres de piel no melanoma.En caso de lesiones en las extremidades y germinación profunda del tumor, puede procederse a la amputación. En un esfuerzo por preservar la mayor cantidad de tejido posible, los médicos también ofrecen como alternativas la radioterapia y la quimioterapia local (perfusión aislada de las extremidades).
En los estadios 0 y I, el principal método de tratamiento es una escisión amplia.
En el estadio II, también se extirpa el tumor, pero es obligatorio realizar una biopsia del ganglio linfático centinela y, si está dañado, se practica una linfadenectomía.
En el melanoma en estadio III, se realiza una escisión amplia, se extirpan los ganglios linfáticos en los que se encontraron células malignas y se administra terapia farmacológica.
En el estadio IV (último), se procede a la extirpación del tumor primario siempre que sea posible. Para el tratamiento de las metástasis, la farmacoterapia y/o la radioterapia son obligatorias.
Para acelerar la cicatrización de una herida postoperatoria, es necesario seguir estrictamente las recomendaciones de un especialista:
El linfedema es la hinchazón e inflamación de las extremidades causada por el estancamiento de la linfa durante la extirpación quirúrgica de los ganglios linfáticos.
Los síntomas del linfedema son
El linfedema puede desarrollarse inmediatamente después de la disección de los ganglios linfáticos y después de mucho tiempo. Vigile atentamente el estado de su cuerpo e informe al médico de cualquier cambio.
Día 1 - Llegada
Día 2 - Preoperatorio
Día 3 - Cirugía
Día 4-7 - Postoperatorio
Semana 1-2 - Rehabilitación
Semana 3-6 - Rehabilitación
Tenga en cuenta que estos plazos pueden variar según las tasas de recuperación individuales y la complejidad de la cirugía.
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"},"361":{"operation":{"name":"Terapia tópica del melanoma","alias":"topical-therapy-of-melanoma","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2200,"max_amount":4500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"MX":false,"TH":false,"ES":true},"description":"Esta terapia aplica medicamentos directamente sobre el cáncer de piel para detener su crecimiento y propagación, lo que ofrece efectos secundarios menores.
"},"363":{"operation":{"name":"Microcirugía de Mohs","alias":"mohs-surgery","use_for_listing":true},"country_price":{"TR":{"amount":1500,"max_amount":3000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":2500,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1900,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1400,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"MX":false,"TH":false,"ES":true},"description":"Esta terapia elimina el cáncer de piel capa por capa, revisando cada una de ellas en busca de células cancerosas, asegurando una pérdida mínima de tejido.
"},"364":{"operation":{"name":"Escisión amplia de melanoma","alias":"wide-excision-of-melanoma","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2800,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2600,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"MX":true,"TH":false,"ES":true},"description":"Este tratamiento consiste en extirpar quirúrgicamente el cáncer de piel, específicamente asegurando un margen limpio y libre de cáncer a su alrededor.
"}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"Mi acompañante y yo fuimos tratados con tanta amabilidad — solo tengo admiración por todo el equipo.","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Hospital Lokman Hekim de Estambul (Lokman Hekim Istanbul Hospital)","clinic":{"name":"Hospital Lokman Hekim de Estambul (Lokman Hekim Istanbul Hospital)","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Mastectomía","alias":"mastectomy"},{"name":"Cirugía de sarcoma","alias":"removal-of-ewing-s-sarcoma"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Mantente fuerte, bien informado y nunca subestimes el poder de los tratamientos de vanguardia y un buen sistema de apoyo.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Hospital","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Hospital","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolización para el cáncer de hígado","alias":"radioembolization-for-liver-cancer"},{"name":"Ablación por radiofrecuencia","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-19T08:20:10.311Z","activeCountries":["DO","ES","TR","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncología","alias":"oncology","name_forms":{"base_form":"Oncología","form_4":"oncólogo","form_6":"oncólogos","form_11":"oncólogos"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Simple-closure excision, desk work. Longer for manual work, reconstruction, or leg, foot, joint sites; nodal surgery excluded."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound complications (infection, hematoma, dehiscence, delayed healing) after excision alone; higher on lower limb; serious ones rare."},"contraindications":["Unmanaged bleeding disorder or anticoagulation (relative)","Active infection at surgical site (usually deferred)","Severe comorbidity or frailty making surgery unsafe (relative)","Life expectancy too limited to benefit from excision"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient under local anesthesia. Extensive reconstruction or sentinel node biopsy may need a day-case or overnight stay; not included."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Simple closure; avoid wound-stretching strenuous activity until healing confirmed. 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Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=hirurgiya-melanomu/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":53,"alias":"melanoma","name":"Melanoma"}],"rendersOffersList":false}